Painful Urination

What Causes Painful Urination?

Painful urination can have various causes, ranging in severity from 'needs attention' to 'generally fatal'.  Finding the true cause means ruling out or confirming each possibility – in other words, diagnosis.

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  • understand what's happening to your body
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Diagnosis is usually a complex process due to the sheer number of possible causes and related symptoms.  In order to diagnose painful urination, we could:

  • Research the topic
  • Find a doctor with the time
  • Use a diagnostic computer system.
The process is the same, whichever method is used.

Step 1: List all Possible Causes

We begin by identifying the disease conditions which have "painful urination" as a symptom.  Here are six possibilities:
  • Urethritis-Urethral Syndrome
  • Urinary Tract Infection
  • Kidney Disease
  • Ovarian Cancer
  • Kidney Stones
  • Bladder Cancer

Step 2: Build a Symptom Checklist

We then identify all possible symptoms and risk factors of each possible cause, and check the ones that apply:
unusual vaginal bleeding
shortness of breath when at rest
short-term low-carb dieting
moderate hypogastric pain
history of kidney stones
high current exposure to solvents
severe right lumbar pain
major unexplained weight loss
Caucasian ethnicity
insufficient water consumption
moderate unexplained weight gain
slight abdominal fullness
... and more than 60 others

Step 3: Rule Out or Confirm each Possible Cause

A differential diagnosis of your symptoms and risk factors finds the likely cause of painful urination:
Cause Probability Status
Kidney Disease 93% Confirm
Urinary Tract Infection 57% Possible
Bladder Cancer 26% Unlikely
Ovarian Cancer 1% Ruled out
Urethritis-Urethral Syndrome 0% Ruled out
Kidney Stones 0% Ruled out
* This is a simple example to illustrate the process

Arriving at a Correct Diagnosis

The Analyst™ is our online diagnosis tool that learns all about you through a straightforward process of multi-level questioning, providing diagnosis at the end.

In the Urinary Symptoms section of the questionnaire, The Analyst™ will ask the following question about painful urination:
Do you suffer pain or burning while urinating?
Possible responses:
→ No / don't know
→ Very slight, barely noticeable
→ Yes, but not too worrying
→ Yes, worrying
→ Yes, severe - excruciating
Based on your response to this question, which may indicate no pain while urinating, slightly painful urination, painful urination or very painful urination, The Analyst™ will consider possibilities such as:
Bladder Cancer

See the link between Blood In Urine and Bladder Cancer.

Kidney Stones (Urolithiasis)

Painful and/or difficult urination is a common sign of a kidney stone.

Urinary Tract Infection (UTI)

Symptoms include painful, burning or itching sensations during urination.

Concerned or curious about your health?  Try The Analyst™
Symptom Entry
Symptom Entry
Full Explanations
Optional Doctor Review
Review (optional)
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